To Correlate The Modified Triple Test (MTT) For Palpable Breast Mass With Histopathology.

ABSTRACT

Discrete breast mass in young women are common cause of anxiety though majority of these lesion are benign.It is frightful experience for the patient to undergo invasive procedure i.e. biopsy of breast mass. So there is obvious need of such diagnostic tool which is noninvasive or minimally invasive, quick , reliable , equivalent or nearly equivalent to current existing diagnostic procedure to avoid unnecessary biopsy, reduce patients anxiety and cost effective.Aims and objective–To study the role of modified triple test in the diagnosis of palpable breast mass.Material and method- The study was a prospective study done in tertiary care center Dehradun from June 2017 to June 2018. It was carried out in the department of surgery in SGRRIM and HS and included 148 patients who presented with palpable breast mass. Patients who were already diagnosed case of carcinoma breast were excluded from the study. Thorough clinical examination of breast was done. All the patients were investigated firstly by sonomammography then FNAC.Either core biopsy or excisional biopsy of breast mass was done in all the cases. Findings were recorded and data analysis was done. Sonomammography report was recorded according BIRADS protocol besides giving probable diagnosis. Breast mass histopathology (HPE) report was considered to be gold standard and all the results were compared with HPE of the same breast mass.Result: results of MTT is comparable with histopathology of the same breast mass. Conclusion: modified triple test is sufficient and reliable investigation for diagnosing palpable breast mass and biopsy of breast mass should be reserved only for doubtful cases.